Individual provider · Type 1 NPI

Jessica Hetherington

Student in an Organized Health Care Education/Training Program · Santa Rosa, CA

NPI number 1467083733 Active

Practice location

2255 Challenger Way Ste 107
Santa Rosa, CA 95407-5423

Call (707) 565-4772 Map

Fax (707) 565-4881

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1467083733

Jessica Hetherington's National Provider Identifier is 1467083733, issued on Jan 27, 2020. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Santa Rosa, CA. The record was last updated on Jan 27, 2020.